HomeMy WebLinkAbout49781-Z O�SUEEO[��OG Town of Southold 3/25/2024
a y� P.O.Box 1179
0
"' 53095 Main Rd
W�y�jO aQ� � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45073 Date: 3/25/2024
THIS CERTIFIES that the building HVAC
Location of Property: Off East End Rd,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 3.-2-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/1/2023 pursuant to which Building Permit No. 49781 dated 9/26/2023
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
1
as built"central air conditioning and mini split units as applied for.
The certificate is issued to Hurlburt Jr,Harry&Sandra
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49781 7/17/2023
PLUMBERS CERTIFICATION DATED 0
Au one Signature
i
$4ffolt TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y 'TOWN CLERK'S OFFICE
"o • SOUTHOLD, NY
BUILDING PERMIT
(THIS. PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 49781 Date: 9/26/2023
Permission is hereby granted to:
Hurlburt Jr, Harry
244 Robin Rdg -
Lansdale, PA 19446
To: legalize "as built" AC and mini split units as applied for.
r
At premises located at:
Off East End•Rd, Fishers-Island
SCTM #473889
Sec/Block/Lot# 3.-2-10
Pursuant to application dated 9/1/2023 and approved by the Building Inspector.
To expire on 3/27/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO-ALTERATION TO DWELLING $50.00
Total: $450.00
Building for
�sufFot,t�o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 2 TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
y� o�
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 49182 Date: 4/28/2023
Permission is hereby granted to:
Hurlburt Jr, Harry
244 Robin Rdg
Lansdale, PA 19446
To: Electric Circuits and Hookup for AC Condenser and Mini Split
At premises located at:
Off East End Rd
SCTM #473889
Sec/Block/Lot# 3.-2-10
Pursuant to application dated 4/28/2023 and approved by the Building Inspector:
To expire on 10/27/2024.
Fees:
ELECTRIC $120.00
Total: $120.00
Building Inspector
OF SOUj��l
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �o sean.deviin(a-town.southold.ny.us
Southold,,NY 11971-0959 Q
�ycOUNT`I,N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Harry Hurlburt Jr
Address: Off East End Rd city,Fishers Island st: NY zip: 06390
Building Permit#: 49781 Section: 3 Block: 2 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: LaReche & Sons License No: 35821 ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower 2 Range Recpt Ceiling Fan. Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect 2 Switches 4'LED Exit Fixtures Sump Pump
Other.Equipment: One AC &AH, One Minisplit & Blowerhead
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC .
Inspector'Si nature: Date: July 17, 2023
�
S.Devlin-Cent Electrical Compliance Form
/ ho��OE SOGIyo� l '� HU r 16 W- -�:5,Lo vtc, -
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycournv,��'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ]' RENTAL
REMARKS: as bu d+
rCzrseof O � ��r I!in .
DATE (5 a 3 INSPECTOR
OF SObTyo�
* # TOWN OF SOUTHOLD BUILDING DEPT.
°ycouom, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [XROUGH .FOUNDATION 2ND [ ON/CAULKING
FRAMING /STRAPPING [ K"-�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
L
DATE 22 15INSPECTOR
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GELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (2ND)
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ROUGH FRAMING& y
PLUMBING
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INSULATION PER N.Y. s '�
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STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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Of i TOWN OF SOUTHOLD—.BUILDING DEPARTMENT
` 3s Town Hall Annex 54375 Main Road P. ®.Box 1179 Southold,NY 11971-0959
Telephone(631)765-1802 Fax (631)765-9502'I�ttps://Nvww.sotittioldlowi)ily.go
Date Received
APPLICATION FOR BUILDING.-PERMIT
For O.ce Use Only ® E PW E OWE
PERMIT NO. Building Inspector: ' k .
S E P _ 1 2023
Applications and forms must be'filled'out in their entirety.;incomplete .
applications will-not be accepted. Where the Applicant is not.the owner,an Building Department
Owner's Authorization form(Page 2)'shali'be completed. 'town'of Southold
Date: r I
OWNER(S)OVPROPERTYc
Name: (Z2� iz GFQ j J`'(L- F�jM#1000- 3. /O
PP
Project Address: . /y/,A t 2d q ►s�1�!'S S�Q rl 340
Phone#: Email: ,
Mailing Address: a p Su 11 w -D ' r 5� G rj� P—a i ws M O�
CONTACT PERSON:
Name: l�(. �-
Mailing Address: (7 s�INLV 2 t �� V�Ah�,,� ,� I.�S / Y
Phone#: 3 o 7 4-1 YEmail: u r' ..or l-- !h co (04 1
DESIGN PROFESSIONAL INFORMATION:
Name:.
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION: r
Name: r"1` �..A dick 7 r l2Q �OJds QG�Yi c. �.0
Mailing Address: r�G ! �•
Phone#: 6� �o' Tj.J ! f Email: f 1 /q t"!e �,Q 2de C. Co
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure OAddition VAlteratiorr ORepair ODemolition Estimated Cost of Project:
E other C- 0A M i N; V 1 J- UN+5 $
Will the lot be re-graded? ❑Yes []No Will excess fill be removed from premises? ❑Yes ONO 11
1 ,i
PROPERTY INFORMATION
Existing use of property: �S� .�.�PQ U�Sf� Intended use of property: gr5s,Aa•(L A,�Sr�
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to.
this property? ❑Yes WNo IF YES,PROVIDE A COPY.
Ch@ck.l3o:t After; gpdhipp.:The owner/contractorldesign professional is.responsible for all drainage and storm water issues'as provided by
Chapter 236 of thO.ToWn tile. PIaCQTION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the*ilding Zone},
ordinance'of the,Toair}pfS_uth ,S ftoli%IFounty,New York and otherapplicabte laws,Ordinances or Regulations,for the construction of buildings,
additions;alterations or-for removal or demolition as herein described.The applicant agrees to comply With all.applicable.laws,ordinances,building code,'
housing code and regulations and to admit authorized inspectors on premises and In buildings)for necessary inspections.False statements made herein are
punishable as a Class:A.misdenieanor pursuant to Section 210.45 of the New York State Penal Law_.
+_. f.
Application Submitted By;(pr nt ame): 3 U ❑Auth rued Agent ''Owner
Signature of Applicant: /� Date: S'l z d Z 3
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in.this application are true to the best of,his/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of ,20
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
c
Owner's Signature Date
Print Owner's Name
2
PROPERTY INFORMATION
Existing use of property: Intended use of property:
- �� - - - - 'Psi- s
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes []No-IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPUCATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
J
O--
Application Submitted By(print ame): f -(L YU&- -3- Vfi�-J0Authorized
Agent 'Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF4A&IJA 0 )
being duly sworn,deposes and says that(s)he is the applicant
(Name of indivicxal signing contract)above named,
(S)he is the W ti Ifl?
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
TIMOTHY KERN
Sworn before me this Notary Public-State of Michigan
County of Kent
Q My Commission Expires Sec 2 029
day of e-e ,20 Acting in the County of tL
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
�o`oS�FFocx ou+ TOWN OF SOUTHOLD—BUILDING DEPARTMENT -
a
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Q Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
``�,sy'-�ritsar
Date Received
APPLICATION FOR BUILDING PERMIT
' For Office Use Only
® ECEOWE
PERMIT NO. Building Inspector: SEP- —1. 2023
Applications and forms must_be filled out in their entirety..lncomplete
applications will not be accepted. Where the Applicant is-not the owner,an Building Department
Owner's Authorization form-(Page 2)shall be completed.' Town of Southold
Date: S Zv Z3
OWNER(S)OF PROPERTY:.
Name: 2� (� I_�V RL Fam#1000- 0
Project Address: �, m a 2d -{}q? 1s4r5 l S�a n C� f1 06 ?j q o
Phone#: 13 363 7-�V3 Email: ur1bv,1— AAAtd. 60✓1-N
Mailing Address: O 54 A LU -D i - 5(:- (G PT3 P-O' ;ws M OG
CONTACT PERSON:
Name: �Z Lo vx�—
Mailing Address: e 57 1 Ste+n L� �e� S15' 6RA00 Tff►.Ps 1Y)
Phone#: 17- 3(?3 �� Email: �� vlr'� /11 A•�� C o✓i�1
DESIGN.-PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: I" Lc\Pff-ck -- L6, F Q c4 e 50tJSS QC�7,C C�Ge
Mailing Address:
Phone#: (gyp_ (ol — rj'jC' I Email: rl /A r',Q Q�-�ri e. Ca/►�
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
I JOther ac aAd 1V iNi $
Will the lot be re-graded? ❑Yes-❑No Will excess fill be removed from premises? ❑Yes El No
1
i
PROPERTY INFORMATION
Existing use of property: Q7,1 ,},(. Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ❑No IF YES, PROVIDE A COPY.
Check Bait-After Reading:-The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPUCATiON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary Inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal law.
Application Submitted By(print ame): (Z l � ❑Authorized Agent VOwner
Signature of Applicant: _ Date:
V
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn,deposes and says that(s)he is the applicant
(Name of indivi al signing contract)above named;
(S)he is the W A) 69
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this
application;that.all statements contained in this application are true to the best of his/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
TIMOTHY KERN
Sworn before me this Notary Public•State of MiLD
County of Kent
/ My Commission Expires Dec
day of S G-t% P �=� ,20� Acting in the County of( K
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
.l%S F Q BUILDING DEPARTMENT-Electrical Inspector
j� TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
o Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX(631) 765-9502
rr
rogerr(a�southoldtownny.gov— seand@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: y�
Company Name: LaFleche & Sons Electric LLC
Electrician's Name: Chris LaFleche
License No.: ME-35821 Elec. email: chris@laflecheelectric.com
Elec. Phone No:- 860-617-5391 Eirl request an email copy of Certificate of Compliance
Elec. Address.: 43 Tayler Trail Woodstock, Ct 06282
JOB SITE INFORMATION (All Information Required)
Name: h u,r /-7 eT
Address: 7 y u $ - d ,t1 d 6
Cross Street:
Phone No.: -3103 v
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Z Lot: Q
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Ciro.'�3 a nd lfoo k f C„r t4/L
&16 -CNUA, 30, a Ile)V,4c
lm;n r !l f= a o4 a yo Me— Square Footage: CS Uv
.Circle All That Apply:
Is job ready for inspection?: �YES❑ NO ❑Rough In inal
Do you need a Temp Certificate?: ❑ YES� Issued On
Temp Information: (All information required)
1 lA Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 n2 H Frame 0 Pole Work done on Service? Y N
Additional Information�;3
PAYMENT DUE WITH APPLICATION
BUILDING DEPARTMENT-Electrical Inspector
��q�UFF01k�;�
TOWN OF SOUTHOLD
F1 Town Hall Annex - 54375 Main Road - PO Box 1179
am Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rocerrQsoutholdtownny gov -- seand@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: L - 5/—
Company Name: LaFleche & Sons Electric LLC
Electrician's Name: Chris LaFleche
License No.: ME-35821 Elec. email: chris@laflecheelectric.com
Elec. Phone No: 860-617-5391 1�I request an email copy of Certificate of Compliance
Elec. Address.: 43 Tayler Trail Woodstock, Ct 06282
JOB SITE INFORMATION (All Information Required)
Name: h -r—
Address: `I`1 ®6 gnn
Cross'Street:
Phone No.:
Bldg.Permit#: �(� � ) email:
Tax Map District: 1000 Section: Block: Lot: O
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Cis'c�m- and //vo k o �'�„� i4le- e-aMe./t.S.erc,na
&/G La04, : 30,4 a,z1b V,4C
n j t4= a a a y® VAC-
J. Square Footage: 0 uv
Circle All That Apply:
Is job ready for inspection?: YES❑NO ❑Rough In final
Do you need a Temp Certificate?: ❑ YES Issued On
Temp Information: (All information required)
p lA Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 0 1 2 H Frame Pole Work done on Service? Y N
Additional Information — je5 it LJ 0
PAYMENT DUE WITH APPLICATION
!:�/V,10 4 LO
PERMIT q Address:
Switches
Outlets
G FI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
4C AH Hood Service
Amps Have Used
Special:
:omments
PERMIT 4 Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
�\C AH Hood Service
Amps Have Usec
)pecial:
:omrnents f14b - 6 /f / A�Dt�
C-cwt 04-0—�O r
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
^* Southold, New York 11971-0959
Telephone (631) 765-1802. - FAX (631) 765-9502
ro.gerrCcD_southoldtownny.gov — seand(c'r)southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: U . l lt"�"1
Address:
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued-On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service-Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame M Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
a ECE0WE
Building Dept—Attn: Lisa Marie
Town of Southold SEP g 2023
Town Hall Annex
54375 Main Rd. PO Box 1179 BTown oDepartment
e �� t
Southold, NY 11971-0959
Re: Harry Hurlburt - Certificate of Occupancy Inspection. Permit 49182
Residence on Fishers Island
13274 East Main Rd
3.-2-10
Per your request and work being done by Chris LaFleche, LaFlech & Sons
Electric, please find the enclosed original, notarized copy of my application for
building permit.
1 believe the permit fees have been paid.
Please let me know if you have questions.
Harry (Chip) Hurlburt
Chip.huriburt(ftmail.com
917-363-7143
.�-.+r—�---_.�..';-r-- — �r I.- -7:• �-' - - .- —_ -�T-..^^:"i?1nKr.Tta+�,. .•.,�••�•`'t'.,:�•�'."QT;^?I
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IB>ZI
79 A
at=Ili-Lo!i
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am FLPE o+ea�ctll
Owm) 310 tT&Wwo
bmuLww
• oux . \ LOCATION MAP t
SCALE 11.400•
PROPCM DELI Oaf a•G tl�l1 �� NeE
sr�s 1.)PIAH OF PNOPER14 or IWLR+0.tgftm T JR.BLOC: 19 LOT 3.rrjcn
PROP'�D At{D{ - bIAND.W.SCALE 1'-100 FT.EH OIWM R A PALLIER,ENGR'S,NDRR�n,
CONN.APRL 1959.
OOb1Oti sum
r �
TO at MOVED � �\ %ram^ ����N �
tIC51U10 1 CM J. / 1
7)IMS SURYPT CIS PREPARED FOR TIR PARTIES AND PURPOSE IXD WED
sT1
OtLVC m I ) ) IEREOM ANY E7MWWM OF'M USE BEYOND THE PURPOSED AGREED TO
/ % 1 ) BE WMN THE CLIENT AND TILE SECTOR DOEE05 THE SCOPE OF THE
MACEa@M
l 2.)1T Is A vatA►loH ar SHE STATE EDub17lON LAw FDR ANY PERSON.WO.ESs
9fm1 FP[ ) / W UN 1NE OREC1tOH OF w-ls LAND SUAVETOR,To ALTER AN TIEY
..-XI 3.)C2T CORES OF THK SWIVM WMED WM THE-LAND SURVEYOR'S SNPWTURE
LMBOSSEO OR POI SEAL ARE THE PRODUCT OF TLC LAND
® + SU MCOORDMTfW4ANp DISTANCES ARE MEASURED FROM U.S.L•OAST AND OEODETK
SURVEY tRWtCVLATION STATION'LTiDC0110U1ft Y
1 j �.403y1• I OF SOU S)SOE IS91 THE TOIIN THO D,COWLTT OF SUiPOIN TAl NAA TOM.
F �A % SEGIIM 003.Eaoot z tot To
6)TOTAL AREA- 181 ACRES.
T ; j T)WE IS LOCATED M 201E R-120
1 I ONO �i SURVEY NAP
/ �s2tYtoy ' r PREPARED FOR
�
/,— HARRY 0. HURLBURT. JR.
ammm
y 40
raw.c srxc FEET FISHERS
/9 LOT 3
FISHERS ISLAND, NEW YORK
ro ntH,you RLVISIONS OHAMMAM.-PALMGR aA KIMl9
a,LP N.OY GATE DESCRIPTIONCPK C A• I Nvollamm 11 0L! 00• rm bi.101
DATE 1AARCH 21.2001 PROPOSED ADDITION
SCALE I'- 4W
a>rn7xAtctAerst-OAo - SHEET I OF I - - .
ECHE
& SONS
860-908-5913
APPROVED AS NOTED
LaFleche & Sons Electric LLC. q±z
43 Tayler Trail DATO13UILDIN�G
B.R#
Woodstock Valley CT. 06282 FEEBY:
NOTDEPARTMENTAT
Email- chris@laflecheelectric.com 631-765-1802 6AM TO 40M FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION-Tllvb RE_0 !r. -r)
.To Sean Devlin, FOR POURED CONCRE"'
2. ROUGH-FRAMING
Re: Harry Hurlburt & INSULATION
4. FINAL-CONSTRUCTION MUST
13274 East Main Rd BE COMPLETE FOR C.O.
FINY ALL CONSTRUCTION SHALL MEET THE
Permit Reference#49182 REQUIREMENTS OF THE CODES OF NEW
requested nameplate info for the two AC units at the above reference YORK STATE. NOT RESPONSIBLE FOR
This is the re
9 p �MMtW CONSTRUCi'OfV ERRORS
1)Mitzubishi Mini Split System Heat Pump
Model:MUZ;A17NA COMPLY WITH ALL CODES OF
Serial:600o182T NEW YORK STATE & TOWN CODES
Volts:230 AS REQUIRED AND CONDITIONS OF
Phase: 1
SOUTH)Ur0WN2BA-,--
Running Load Amps: 10.62 SOUM% -TOWN MNING BOARD
Max Fuse: 15 Amps
S91TH6L-F0VfflMSTEES
Refrigerant:R410a
N. . ,DE�Y�G
2)York AC Condenser to A coil in furnace
Model:H4Dl3036S06A !`
Serial:MIKLM017483 .���U PA 1V V j u i—,
Phase:
I 0 P USE IS UNLAWFUL
Phase:
Running Load Amps:23 WITHOUT CERTIFIC/,
Max Fuse:35 Amps r OF OCCUPANCY
Refrigerant:R22
Please let me know if you need any additional information
Chris LaFleche
NY Lie.ME-35821 ` ELECTRICAL
INSPECTION REQUIRED
1